Blackston, Elisa M

Blackston, Elisa M is an sole proprietor health care provider with primary practice located at 170 S Thomas Rd , Tallmadge OH 44278-2755. She recently has 5 registered licenses in different health care specialties including Transportation Services / Private Vehicle, Nursing Service Related Providers / Personal Care Attendant, Transportation Services / Non-emergency Medical Transport (VAN), Nursing Service Related Providers / Homemaker, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Blackston, Elisa M can be contacted via phone (234) 718-0678.

Contact Information

Primary practice address
170 S Thomas Rd Tallmadge OH 44278-2755
Phone: (234) 718-0678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Nursing Service Related Providers / Homemaker 376J00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1043889827
LBN Legal business name Blackston, Elisa M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2021
Last updated Jun 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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